How much rates vary
Facilitymedian $955 · 10th to 90th $741 to $1,698Professionalmedian $1,413 · 10th to 90th $676 to $1,820
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $616.60 Median $691.83 Typical High $4,365.16 | Facility | None | $616.60 | $691.83 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $851.14 | Professional | None | $524.81 | $575.44 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $1,000.00 Typical High $1,513.56 | Facility | None | $234.42 | $1,000.00 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $1,778.28 | Professional | None | $1,122.02 | $1,445.44 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,584.89 | Facility | None | $758.58 | $891.25 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,548.82 Typical High $4,677.35 | Professional | None | $676.08 | $1,548.82 | $4,677.35 |
Midlands Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,412.54 | $1,412.54 | $1,548.82 |
Midlands Setting Facility Modifier None Typical Low $234.42 Median $954.99 Typical High $1,819.70 | Facility | None | $234.42 | $954.99 | $1,819.70 |
Midlands Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Professional | None | $1,318.26 | $1,318.26 | $1,412.54 |
Sanford Health Plan Setting Professional Modifier None Typical Low $776.25 Median $1,122.02 Typical High $1,412.54 | Professional | None | $776.25 | $1,122.02 | $1,412.54 |
United Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,698.24 | Facility | None | $758.58 | $891.25 | $1,698.24 |
United Setting Professional Modifier None Typical Low $616.60 Median $1,258.93 Typical High $1,905.46 | Professional | None | $616.60 | $1,258.93 | $1,905.46 |
Wellmark Setting Professional Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $1,737.80 | Professional | None | $1,230.27 | $1,412.54 | $1,737.80 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $407.38 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $363.08 | $407.38 | $602.56 |
Where South Dakota sits
The same service costs 4.0 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
AK $5,661DE $1,425
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.